Schwartz M L
Obstet Gynecol. 1986 Jul;68(1):136-9.
A new case of a preeclamptic who developed the diagnostic criteria for the hemolytic uremic syndrome and who was treated with plasmapheresis is presented. Fourteen case reports of gravidas with preeclampsia treated by exchange plasmapheresis with fresh frozen plasma for maternal indications are reviewed. Only four cases had been reported as eclampsia or preeclampsia. The other cases had been reported as thrombotic thrombocytopenic purpura, the postpartum hemolytic uremic syndrome, or fatty liver of pregnancy. The possible role of plasmapheresis in treating very carefully selected cases of preeclampsia is discussed.
本文介绍了一例先兆子痫患者，该患者出现了溶血尿毒综合征的诊断标准，并接受了血浆置换治疗。回顾了14例因母体指征采用新鲜冷冻血浆进行置换血浆疗法治疗的先兆子痫孕妇的病例报告。仅有4例报告为子痫或先兆子痫。其他病例报告为血栓性血小板减少性紫癜、产后溶血尿毒综合征或妊娠脂肪肝。本文讨论了血浆置换在治疗经过严格筛选的先兆子痫病例中的可能作用。
